Speech Therapy Swallowing Exercise - Effortful Swallow

Disclaimer:
Please follow recommendations from YOUR speech-language pathologist when continuing with your plan of care. This channel and all videos/recommendations/exercises should not be implemented without proper guidance from a certified speech-language pathologist (CCC-SLP) and is provided as only a guide/tutorial to general recommendations.

HARD / EFFORTFUL SWALLOW PURPOSE

To increase tongue base retraction and pressure during the pharyngeal phase of the swallow and reduce the amount of food residue in the valleculae of the throat.

APPLICABILITY

Patients who exhibit residue in the valleculae after the swallow.

SUPPLIES

___ Only saliva swallow

___ Food/Liquid swallow

INSTRUCTIONS

Swallow normally but squeeze very hard with your tongue and throat muscles throughout the swallow. Excess effort should be clearly visible in your neck during the swallow.

Perform with each food/liquid swallow.

Perform ___ times throughout the day.

References

Lazarus, C., Logemann, J.A., & Gibbons, P. (1993). Effects of maneuvers on swallow functioning in a dysphagic oral cancer patient. Head and Neck, 15, 419-424.

Shanahan, T.K., Logemann, J.A., Rademeker, A.W., Pauloski, B.R., & Kahrillas, P.J. (1993). Chin down posture effects on aspiration in dysphagic patients. Archives of Physical Medicine and Rehabilitation, 74, 736-739.

How to improve your swallow

[kaseyhatchell]

I have cerebral atrophy and having Laryngospasm attacks, cant eat or drink now without having attacks, this video I just found am watching it now

[akdjfncoslkdlliijhdvs]

I found this video while I was looking for the song “shallow”. I made a typo mistake. But I also need to practice presentation. So I decided to subscribe. You explain very clearly to understand for non english native person. :) Thank you!

[lordviksta]

Can you help me understand this: IMPRESSIONS
Grossly functional oral phase with intentionally prolonged mastication, piecemeal deglutition and adequate bolus control and transit. Pharyngeal phase characterized by mildly delayed sallow initiation, mildly reduced hyolaryngeal excursion (hyoid appears to be in elevated position at baseline) and mild vallecular residue which cleared with multiple swallows and/or liquid wash. Mild/flash penetration of thin liquid for consecutive sips and premature spillage for mixed consistency trials. No aspiration of any tested food or liquid materials.
I feel like good stays in my throat

[Hotchelle]

What if I’m having trouble forcing a swallow? Unable to swallow excess saliva or a forced swallow at all. The muscle just isn’t working unless it’s water. This is terrifying and I received a steroid shot today and still can’t

[themarkus]

Hey man I tried changing my swallowing and tongue posture after watching some videos about it. Now I have tmj pain and pain when I swallow. I feel like I’m going crazy and depressed. I tried going back to mouth breathing and swallowing normally but still feel terrible. It’s almost like my tongue is strong so it hurts my palate when I swallow.What should I do.

[amth]

When WO do these swallowing excersices after wake up or any time after eating

[vaniamichellepantoja]

is this only used for solid foods? or it can it be used for liquids too?

[SifuJackSoderberg]

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